LATANYA CAROLYN MACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010347

License Status

NOT RENEWED

Business

First Name

LATANYA CAROLYN

Last Name

MACK

Business Name

LATANYA CAROLYN MACK

Original Issue Date

04/02/1962

Effective Date

11/29/2004

Expiration Date

01/31/2007

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

03/16/2007